儿童嗜酸粒细胞性心肌炎合并生前溺水死亡法医学检验  

Autopsy of a Deceased Child Afflicted of Eosinophilic Myocarditis Complicated with Drowning

作　　者：王晶 李嘉宁 梁悦[1] 李廉杰 陈建一 周亦武[1] WANG Jing;LI Jianing;LIANG Yue;LI Lianjie;CHEN Jianyi;ZHOU Yiwu(Department of Forensic Medicine of TongJi Medical College of HUST,Wuhan430030,China)

机构地区：[1]华中科技大学同济医学院法医学系,武汉430030

出　　处：《刑事技术》2018年第6期508-510,共3页Forensic Science and Technology

基　　金：国家级大学生创业创新训练项目(No.2016FYDC001);湖北省级教学研究项目(No.2016074);华中科技大学大学生创业创新训练项目(No.0118515022);华中科技大学本科特优生培养项目(No.2012515004)

摘　　要：本文报道一例少见的儿童溺水合并重症心肌炎致死案例。嗜酸粒细胞性心肌炎是以嗜酸性粒细胞浸润伴心肌坏死及纤维化为特征的心肌炎症,在所有可能诊断为心肌炎的活检中占0.1%。它的症状大多相同,多与普通"感冒"类似,病情严重者可发生心源性猝死。而在做疑似溺水的法医鉴定时,除了实验室常规的硅藻检测外,应进行系统解剖及组织病理学检验,再结合案情调查、现场勘验及病历资料等方面,从而综合分析做出最终的死因判断。Here it is covered of a rare case that a child died from eosinophilic myocarditis complicated with drowning.Eosinophilic myocarditis is a myocardial inflammation characterized by eosinophil infiltration with myocardial necrosis and endomyocardial fi brosis,accounting for about0.1%of the cases among a cohort of patients biopsied for suspected myocarditis.The disease symptoms are same and most of them are similar with“common cold”,yet the severe patients may lead to sudden cardiac death.When forensic identifi cation to be performed about such a disease involved with drowning,the implementation should be taken into the aspects of systematic autopsy,histopathological examination,case investigations and medical-record review along with the essential diatom test to find out the death cause,thereby leaving the only correct analysis to be made.

关 键 词：法医病理学 嗜酸粒细胞性心肌炎 溺水 死因分析 

分 类 号：DF795.1[医药卫生—法医学]